Appropriate Dress for Candidate is Black Tuxedo, Plain White Tuxedo Pleated Shirt (with lay down collar - NO wing tips allowed), Black Bow Tie, Black Shoes, Black Socks, Black Cummerbund.
Candidate will receive his Social Baldric and Fourth Degree pin in the Anti-Chamber after registering with the District Secretary.
Clergy to wear their “Blacks” or cassock.
Active Duty Military may wear their Class A or Dress Uniform instead of the Black Tuxedo. You also have an option of not wearing the baldric with your dress uniform.
I fully understand the above requirements and must be in the appropriate dress to be eligible to take my Fourth Degree.
I am to report to the District Secretary’s Desk no later than 45 minutes prior to the published start time of the Exemplification.
Print Full Name of Candidate
Signature of Candidate Date
Please indicate whether you are staying for banquet YES NO
THIS FORM MUST BE ATTACHED TO CANDIDATE'S FORM FOUR FOR